Hip replacement with principal diagnosis of hip fracture with major complications in Florida
What 35 hospitals in Florida charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.
Average charge
$166,500
Hospital list price billed
Average payment
$21,634
Medicare + patient + other payers
Medicare paid
$19,534
Average per stay
State rank
#8 of 40
1 = lowest average payment
Hospitals in Florida billed an average of $166,500 for hip replacement with principal diagnosis of hip fracture with major complications, about 7.7 times the average total payment of $21,634. That payment is 16% below the U.S. average of $25,727.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $21,634Billed $166,500
About 13¢ was paid for every $1 hospitals in Florida billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Florida:
Florida hospitals: hip replacement with principal diagnosis of hip fracture with major complications
Every Florida hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Adventhealth OrlandoOrlando | 41 | $198,942 | $21,203 | $19,197 |
| Baptist Medical CenterJacksonville | 41 | $137,649 | $26,282 | $17,416 |
| Sarasota Memorial HospitalSarasota | 31 | $144,007 | $21,265 | $19,718 |
| Orlando Regional HealthcareOrlando | 30 | $225,962 | $22,322 | $20,842 |
| Gulf Coast Medical Center Lee HealthFort Myers | 29 | $148,858 | $20,429 | $19,213 |
| North Florida Regional Medical CenterGainesville | 25 | $289,164 | $24,090 | $21,983 |
| Naples Community HospitalNaples | 23 | $112,868 | $20,569 | $18,854 |
| Delray Medical CenterDelray Beach | 21 | $277,670 | $17,587 | $16,048 |
| Adventhealth Palm CoastPalm Coast | 19 | $109,885 | $24,589 | $23,388 |
| Martin Memorial Health SystemsStuart | 18 | $103,426 | $18,373 | $17,079 |
| Lee Memorial HospitalFort Myers | 17 | $138,816 | $20,589 | $19,339 |
| St Vincent's Medical CenterJacksonville | 17 | $116,698 | $20,613 | $18,609 |
| Adventhealth Daytona BeachDaytona Beach | 17 | $118,020 | $19,716 | $18,662 |
| St Joseph's HospitalTampa | 17 | $106,799 | $20,565 | $19,448 |
| Baptist HospitalPensacola | 17 | $151,804 | $20,684 | $19,342 |
| Indian River Medical CenterVero Beach | 17 | $66,967 | $19,362 | $18,362 |
| Lakeland Regional Medical CenterLakeland | 17 | $118,837 | $19,094 | $17,957 |
| Ocala Regional Medical CenterOcala | 17 | $419,928 | $24,514 | $22,970 |
| Sarasota Memorial Hospital - VeniceNorth Venice | 17 | $125,620 | $18,476 | $16,639 |
| St Anthony's HospitalSt Petersburg | 16 | $128,966 | $20,550 | $19,312 |
| Shands Hospital at the University of FloridaGainesville | 16 | $141,316 | $28,567 | $25,145 |
| Tallahassee Memorial HealthcareTallahassee | 15 | $137,652 | $21,910 | $20,204 |
| Cape Coral HospitalCape Coral | 15 | $152,108 | $20,778 | $18,917 |
| Mease Countryside HospitalSafety Harbor | 15 | $126,787 | $19,540 | $18,343 |
| Jfk Medical CenterAtlantis | 14 | $376,327 | $22,095 | $20,635 |
| Leesburg Regional Medical CenterLeesburg | 14 | $104,385 | $19,662 | $18,380 |
| Jupiter Medical CenterJupiter | 13 | $113,073 | $19,594 | $18,339 |
| Lakewood Ranch Medical CenterBradenton | 13 | $257,177 | $18,684 | $17,436 |
| Holmes Regional Medical CenterMelbourne | 12 | $130,898 | $20,379 | $19,271 |
| Adventhealth SebringSebring | 12 | $110,602 | $19,685 | $17,895 |
| Baptist Medical Center BeachesJacksonville Beach | 12 | $147,580 | $19,924 | $18,700 |
| Boca Raton Regional HospitalBoca Raton | 12 | $179,227 | $24,841 | $22,662 |
| Brandon Regional HospitalBrandon | 12 | $271,170 | $25,792 | $23,368 |
| Bethesda Memorial HospitalBoynton Beach | 11 | $160,911 | $24,179 | $22,274 |
| Mayo ClinicJacksonville | 11 | $101,947 | $27,749 | $22,573 |
Lowest and highest payments in Florida
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Delray Medical CenterDelray Beach, FL | $17,587 |
|---|---|
| Martin Memorial Health SystemsStuart, FL | $18,373 |
| Sarasota Memorial Hospital - VeniceNorth Venice, FL | $18,476 |
| Lakewood Ranch Medical CenterBradenton, FL | $18,684 |
| Lakeland Regional Medical CenterLakeland, FL | $19,094 |
Highest
| Shands Hospital at the University of FloridaGainesville, FL | $28,567 |
|---|---|
| Mayo ClinicJacksonville, FL | $27,749 |
| Baptist Medical CenterJacksonville, FL | $26,282 |
| Brandon Regional HospitalBrandon, FL | $25,792 |
| Boca Raton Regional HospitalBoca Raton, FL | $24,841 |
Hip replacement with principal diagnosis of hip fracture with major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in Florida?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 35 hospitals in Florida was billed at $166,500 on average, while the average total payment was $21,634, of which Medicare paid $19,534. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Florida, average charges were 7.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.